Peak Performance Hockey

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* Player's First Name

* Player's Last Name

Team, Level & Tier

* Player's Birth Year

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Peak Performance Waiver

In consideration of Peak Performance Hockey accepting the Application of the child specified above as a participant in the clinic activities, I, the parent or guardian of the child, do hereby waive and release Peak Performance Hockey, and all employees, servants, and agents, from any and all claims, actions, causes of action, injury, illness, losses or damages, including the risk of possible accidents, physical injury, or exposure to the Covid-19 virus or other infections or infectious diseases which may be suffered by the child as a result of, or connected with, participating in the activities of the clinic, including, but not limited to, claims arising from or connected to negligence of the clinic, participation in the activities of the clinic, or the actions of the employees, servants, or agents of the clinic. Hockey, and its associated activities, is inherently dangerous and all risk of all injury, illness, loss or damage to the child is assumed by the parent or guardian. I, the parent or guardian agree to indemnify and hold harmless Peak Performance Hockey and all employees, servants, and agents from any and all claims, actions, causes of action, injury, illness, losses or damages, which may be made by the child, or anyone on behalf of or account of the child, directly or indirectly related to or associated with the activities of the clinic. By accepting this waiver, I also permit Peak Performance Hockey the right to use and publish photographs of my child or photographs in which he/she may be included for reproduction on the Peak Performance Hockey website and in Peak Performance Hockey promotions. I understand that my child will not be named in any situation where his/her likeness is used. I have read and understood this waiver.

* Please type Parent's First & Last name to accept the terms & conditions of this waiver

RapidShot Membership # (if applicable)

Waiting List Information

On-Ice Session

U13/U11 Stride & Skills Camp (2012-2013)

On-Ice Session Date

7/18/2022

Notes